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Simple Wound Stitching, Medium Length

Maine rates for HCPCS 12004

Basic stitched closure of a cut or wound on the scalp, neck, trunk, arms, legs, or genital area that goes through the outer layers of skin but doesn't involve deeper tissue repair. This covers a wound whose total length falls in a medium range, roughly 3 to 5 inches.

Rates data updated July 2026.

How much does Simple Wound Stitching, Medium Length cost?

$117

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $117 for this service. Most negotiated rates run $91.20 to $214.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $229 · 10th to 90th $59 to $479Professionalmedian $115 · 10th to 90th $71 to $263
$1$10$100facility $229professional $115

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$229.09
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$102.33
Typical High
$138.04
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$131.83
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$158.49
Typical High
$288.40
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$169.82
Typical High
$309.03
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$295.12
Typical High
$524.81
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$102.33
Typical High
$218.78
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$158.49
Typical High
$288.40

Where Maine sits

The same service costs 4.4 times more in California than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maine· 49th of 51

$117

CA $479DC $110

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.